Case reports
Patient With Generalized Guttate Morphea and Lichen Sclerosus et Atrophicus
Coexistencia de Morfea en Gotas Generalizada y Liquen Escleroatrófico: A Propósito de un Caso
B. Blaya
, J. Gardeazabal, Z. Martínez de Lagrán, J.L. Díaz-Pérez
Corresponding author
39144bba@comb.es
Correspondence: Servicio de Dermatología, Hospital de Cruces, Plaza de Cruces s/n, 48903 Barakaldo, Vizcaya, Spain.
Correspondence: Servicio de Dermatología, Hospital de Cruces, Plaza de Cruces s/n, 48903 Barakaldo, Vizcaya, Spain.
Servicio de Dermatología, Hospital de Cruces, Barakaldo, Vizcaya, Spain
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"apellidos" => "Blaya" "email" => array:1 [ 0 => "39144bba@comb.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Gardeazabal" ] 2 => array:2 [ "nombre" => "Z." "apellidos" => "Martínez de Lagrán" ] 3 => array:2 [ "nombre" => "J.L." "apellidos" => "Díaz-Pérez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital de Cruces, Barakaldo, Vizcaya, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Hospital de Cruces, Plaza de Cruces s/n, 48903 Barakaldo, Vizcaya, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Coexistencia de Morfea en Gotas Generalizada y Liquen Escleroatrófico: A Propósito de un Caso" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-12-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84340" "palabras" => array:4 [ 0 => "guttate morphea" 1 => "plaque morphea" 2 => "scleroderma" 3 => "lichen sclerosus et atrophicus" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84339" "palabras" => array:4 [ 0 => "morfea en gotas" 1 => "morfea en placas" 2 => "esclerodermia" 3 => "liquen escleroatrófico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Generalized guttate morphea is a very uncommon clinical entity, and few reports are available in the literature. We report the case of a 7-year-old boy who first attended our clinic in 1990 with guttate morphea on the trunk and upper limbs. These lesions were associated with plaque morphea on his right foot. Twelve years later, lesions with a different appearance to the previous ones were observed in the right pectoral region. Clinically and histopathologically, they resembled lichen sclerosus et atrophicus. Given that morphea and lichen sclerosus et atrophicus share certain clinical and pathologic characteristics, some authors believe that these entities may be related or even different presentations of the same disease.</p><p class="elsevierStyleSimplePara elsevierViewall">The most noteworthy aspect of our case is the type of morphea, as we were unable to find equivalent examples in the literature.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La morfea en gotas generalizada es una entidad clínica muy poco frecuente, con escasas referencias en la literatura. Describimos el caso de un varón de 7 años que acudió por primera vez a nuestra consulta en 1990 presentando este tipo de morfea en el tronco y las extremidades superiores, asociado a la variante en placas en el pie derecho. Doce años después le aparecieron unas lesiones en la región pectoral derecha de aspecto diferente a las previas, y que resultaron ser características clínica e histopatológicamente de liquen escleroso y atrófico (LEA). La morfea y el LEA comparten algunas características clínico-patológicas, y por ello algunos autores creen que podría tratarse de entidades emparentadas, e incluso de dos presentaciones distintas de una misma enfermedad.</p><p class="elsevierStyleSimplePara elsevierViewall">Creemos que lo más llamativo del caso que describimos es el tipo de morfea que presenta, de la que no hemos encontrado ejemplos equiparables en la literatura.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morphea and lichen sclerosus et atrophicus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "J. Uitto" 1 => "D.J. Santa Cruz" 2 => "E.A. Bauer" 3 => "A.Z. Eisen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "1980" "volumen" => "3" "paginaInicial" => "271" "paginaFinal" => "279" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7451694" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morphées: classification et prise en charge" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "V. Salmon-Ehr" 1 => "C. Eschard" 2 => "B. Kalis" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Ann Dermatol Venereol" "fecha" => "1998" "volumen" => "125" "paginaInicial" => "283" "paginaFinal" => "290" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9747273" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morfea y liquen escleroso. Dermatología" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M. Röcken" 1 => "K. Ghoreschi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:4 [ "edicion" => "1st ed." "fecha" => "2004" "editorial" => "Elsevier" "editorialLocalizacion" => "Madrid" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Disabling pansclerotic morphea of children" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "J.L. Díaz-Pérez" 1 => "S.M. Connoly" 2 => "R.K. Winkelmann" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "1980" "volumen" => "116" "paginaInicial" => "169" "paginaFinal" => "173" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7356347" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Coexistence of lichen sclerosus, morphea, and lichen planus: report of four cases and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "M.G. Connelly" 1 => "R.K. Winkelmann" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "1985" "volumen" => "12" "paginaInicial" => "844" "paginaFinal" => "851" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4008688" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Morphea coexisting with lichen sclerosus et atrophicus" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Tremaine" 1 => "J.E. Adam" 2 => "M. Orizaga" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Int J Dermatol" "fecha" => "1990" "volumen" => "29" "paginaInicial" => "486" "paginaFinal" => "489" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2228375" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lichen sclerosus et atrophicus, bullous morphea, and systemic lupus erythematosus: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "K.H. Wu" 1 => "Y.S. Dai" 2 => "M.J. Tsai" 3 => "S.C. Lin" 4 => "L.H. Wang" 5 => "M.T. Huang" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Microbiol Inmunol Infect" "fecha" => "2000" "volumen" => "33" "paginaInicial" => "53" "paginaFinal" => "56" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dpenicillamine induced polymyositis and morphea in a woman with Hashimoto thyroiditis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L.A. Dourmishev" 1 => "S.R. Stomonjakova" 2 => "A.L. Dourmishev" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2002" "volumen" => "16" "paginaInicial" => "538" "paginaFinal" => "539" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12428861" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "No evidence for Borrelia burgdorferi infection in lesions of morphea and lichen sclerosus et atrophicus in Spain. A prospective study and literature review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Alonso-Llamazares" 1 => "D.H. Persing" 2 => "P. Anda" 3 => "L.E. Gibson" 4 => "B.J. Rutledge" 5 => "L. Iglesias" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Acta Derm Venereol" "fecha" => "1997" "volumen" => "77" "paginaInicial" => "299" "paginaFinal" => "304" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9228224" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Detection of <span class="elsevierStyleItalic">Borrelia burgdorferi</span> DNA (<span class="elsevierStyleItalic">B. garinii</span> or <span class="elsevierStyleItalic">B. afzelii</span>) in morphea and lichen sclerosus et atrophicus tissues of German and Japanese but not of US patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H. Fujiwara" 1 => "K. Fujiwara" 2 => "K. Hashimoto" 3 => "A.H. Mehregan" 4 => "G. Schaumburg-Lever" 5 => "R. Lange" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "1997" "volumen" => "133" "paginaInicial" => "41" "paginaFinal" => "44" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9006371" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Localized scleroderma in adults and children. Clinical and laboratory investigations on 239 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A.V. Marzano" 1 => "S. Menni" 2 => "A. Parodi" 3 => "A. Borghi" 4 => "A. Fuligni" 5 => "P. Fabbri" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Eur J Dermatol" "fecha" => "2003" "volumen" => "13" "paginaInicial" => "171" "paginaFinal" => "176" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12695134" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lichen sclerosus and eosinophilic fasciitis as manifestations of chronic graft-versus-host disease: expanding the sclerodermoid spectrum" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.V. Schaffer" 1 => "J.M. McNiff" 2 => "S. Seropian" 3 => "D.L. Cooper" 4 => "J.L. Bolognia" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2005.06.015" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2005" "volumen" => "53" "paginaInicial" => "591" "paginaFinal" => "601" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16198778" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Liquen escleroatrófico y morfea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "G.F. Buezo" 1 => "P.F. Peñas" 2 => "J.M. Dorado Bris" 3 => "J. Fernández Herrera" 4 => "A. García Diez" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Actas Dermosifiliogr" "fecha" => "1993" "volumen" => "85" "paginaInicial" => "201" "paginaFinal" => "205" ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lichen sclerosus et atrophicus is not related to morphea. A clinical and histologic study of 24 patients in whom both conditions were reputed to be present simultaneously" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "J.A.K. Patterson" 1 => "A.B. Ackerman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Am J Dermatopathol" "fecha" => "1984" "volumen" => "6" "paginaInicial" => "323" "paginaFinal" => "335" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/6388391" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Lichen sclerosus et atrophicus, morphea, and coexistence of both diseases: histological studies using lectins" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S. Shono" 1 => "M. Amura" 2 => "M. Ota" 3 => "A. Osaku" 4 => "S. Shinomiya" 5 => "K. Toda" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Arch Dermatol" "fecha" => "1991" "volumen" => "127" "paginaInicial" => "1352" "paginaFinal" => "1356" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1716433" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000009900000010/v1_201304241444/S1578219008703706/v1_201304241444/en/main.assets" "Apartado" => array:4 [ "identificador" => "6183" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Case Reports" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000009900000010/v1_201304241444/S1578219008703706/v1_201304241444/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219008703706?idApp=UINPBA000044" ]
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| 2023 May | 36 | 24 | 60 |
| 2023 April | 37 | 28 | 65 |
| 2023 March | 18 | 30 | 48 |
| 2023 February | 38 | 20 | 58 |
| 2023 January | 33 | 35 | 68 |
| 2022 December | 56 | 31 | 87 |
| 2022 November | 37 | 33 | 70 |
| 2022 October | 48 | 31 | 79 |
| 2022 September | 20 | 36 | 56 |
| 2022 August | 22 | 54 | 76 |
| 2022 July | 26 | 21 | 47 |
| 2022 June | 17 | 31 | 48 |
| 2022 May | 36 | 46 | 82 |
| 2022 April | 36 | 39 | 75 |
| 2022 March | 37 | 61 | 98 |
| 2022 February | 27 | 32 | 59 |
| 2022 January | 31 | 35 | 66 |
| 2021 December | 32 | 37 | 69 |
| 2021 November | 32 | 48 | 80 |
| 2021 October | 28 | 60 | 88 |
| 2021 September | 32 | 47 | 79 |
| 2021 August | 31 | 29 | 60 |
| 2021 July | 33 | 39 | 72 |
| 2021 June | 40 | 43 | 83 |
| 2021 May | 35 | 45 | 80 |
| 2021 April | 110 | 83 | 193 |
| 2021 March | 68 | 31 | 99 |
| 2021 February | 82 | 40 | 122 |
| 2021 January | 51 | 22 | 73 |
| 2020 December | 21 | 16 | 37 |
| 2020 November | 28 | 26 | 54 |
| 2020 October | 37 | 9 | 46 |
| 2020 September | 44 | 19 | 63 |
| 2020 August | 38 | 28 | 66 |
| 2020 July | 44 | 11 | 55 |
| 2020 June | 26 | 23 | 49 |
| 2020 May | 21 | 20 | 41 |
| 2020 April | 25 | 30 | 55 |
| 2020 March | 32 | 26 | 58 |
| 2020 February | 0 | 4 | 4 |
| 2020 January | 0 | 11 | 11 |
| 2019 December | 0 | 20 | 20 |
| 2019 November | 0 | 3 | 3 |
| 2019 October | 0 | 20 | 20 |
| 2019 September | 0 | 28 | 28 |
| 2019 August | 0 | 7 | 7 |
| 2019 July | 0 | 20 | 20 |
| 2019 June | 0 | 23 | 23 |
| 2019 May | 0 | 74 | 74 |
| 2019 April | 0 | 35 | 35 |
| 2019 March | 0 | 15 | 15 |
| 2019 February | 0 | 13 | 13 |
| 2019 January | 0 | 7 | 7 |
| 2018 December | 0 | 3 | 3 |
| 2018 November | 0 | 4 | 4 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 0 | 2 | 2 |
| 2018 March | 1 | 0 | 1 |
| 2018 February | 15 | 36 | 51 |
| 2018 January | 26 | 47 | 73 |
| 2017 December | 20 | 38 | 58 |
| 2017 November | 18 | 50 | 68 |
| 2017 October | 41 | 41 | 82 |
| 2017 September | 27 | 38 | 65 |
| 2017 August | 30 | 28 | 58 |
| 2017 July | 27 | 32 | 59 |
| 2017 June | 31 | 44 | 75 |
| 2017 May | 34 | 21 | 55 |
| 2017 April | 15 | 24 | 39 |
| 2017 March | 23 | 35 | 58 |
| 2017 February | 25 | 40 | 65 |
| 2017 January | 24 | 29 | 53 |
| 2016 December | 35 | 36 | 71 |
| 2016 November | 35 | 36 | 71 |
| 2016 October | 42 | 48 | 90 |
| 2016 September | 54 | 70 | 124 |
| 2016 August | 66 | 50 | 116 |
| 2016 July | 40 | 33 | 73 |
| 2016 June | 10 | 35 | 45 |
| 2016 May | 7 | 30 | 37 |
| 2016 April | 9 | 1 | 10 |
| 2016 March | 4 | 1 | 5 |
| 2016 February | 7 | 3 | 10 |
| 2016 January | 5 | 11 | 16 |
| 2015 December | 8 | 3 | 11 |
| 2015 November | 9 | 1 | 10 |
| 2015 October | 10 | 6 | 16 |
| 2015 September | 3 | 7 | 10 |
| 2015 August | 11 | 2 | 13 |
| 2015 July | 34 | 207 | 241 |
| 2015 June | 35 | 43 | 78 |
| 2015 May | 75 | 66 | 141 |
| 2015 April | 30 | 34 | 64 |
| 2015 March | 42 | 51 | 93 |
| 2015 February | 23 | 39 | 62 |
| 2015 January | 38 | 39 | 77 |
| 2014 December | 33 | 26 | 59 |
| 2014 November | 34 | 40 | 74 |
| 2014 October | 47 | 32 | 79 |
| 2014 September | 46 | 37 | 83 |
| 2014 August | 53 | 25 | 78 |
| 2014 July | 57 | 28 | 85 |
| 2014 June | 64 | 24 | 88 |
| 2014 May | 62 | 15 | 77 |
| 2014 April | 52 | 13 | 65 |
| 2014 March | 61 | 40 | 101 |
| 2014 February | 34 | 37 | 71 |
| 2014 January | 34 | 34 | 68 |
| 2013 December | 54 | 39 | 93 |
| 2013 November | 30 | 48 | 78 |
| 2013 October | 29 | 49 | 78 |
| 2013 September | 31 | 71 | 102 |
| 2013 August | 33 | 71 | 104 |
| 2013 July | 33 | 105 | 138 |
| 2013 June | 29 | 117 | 146 |
| 2013 May | 23 | 118 | 141 |
| 2013 April | 20 | 89 | 109 |
| 2013 March | 30 | 43 | 73 |
| 2013 February | 37 | 24 | 61 |
| 2013 January | 22 | 9 | 31 |
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